NPI 1043690852

Ryan Witholt, LMT

Practitioner Massage Therapist Las Vegas, NV

Practice location

Address: 4005 S El Capitan Way, Las Vegas, NV 89147-3430
Phone: (170) 275-1600
Mailing address: 6222 Foothill Blvd, Las Vegas, NV 89118-1455

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 3291 (NV)

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Registry record

NPI: 1043690852
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jun 2015
Record last updated: 5 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.